Active NPI
Kara Lynne Jensen
- Professional Counselor
- Park City, UT
National Provider Identifier
1891997276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6158205-6004
- Practice address
- 1283 Deer Valley Dr
Park City, UT 84060-5104 - Phone
- (435) 250-3510
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6158205-6004 | UT | Primary |
Addresses
Primary practice location
1283 Deer Valley Dr
Park City, UT 84060-5104
Mailing address
PO Box 683480
Park City, UT 84068-3480
Phone (435) 250-3510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 29, 2024 through Mar 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6158205-6004 | UT | MD | Professional Counselor |
| 12246 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1891997276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 683480",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840683480",
"telephone_number": "435-250-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1283 DEER VALLEY DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840605104",
"telephone_number": "435-250-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "KARA",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "6158205-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.